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收集我科163例2型糖尿病患者的一般与临床资料,根据有无合并神经病变分成两组,进行数据比较。同时依据糖尿病神经病变病情分级对神经病变患者进行临床分级,分成1级、2级、3级,使用肌电图仪检测感觉与运动神经传导速度。结果:与无神经病变组比较,2型糖尿病合并神经病变组的体重指数、舒张压、糖尿病病程、年龄、空腹血糖、餐后2h血糖、糖化血红蛋白、空腹C-肽均明显升高,具体统计学意义(P<0.05或P<0.01)。随着病情分级的升高,腓肠神经、腓浅神经感觉传导速度和正中神经、尺神经、胫神经、腓总神经运动传导速度有不同程度的减慢(P<0.05或P<0.01)。结论:神经电生理的检测可作为2型糖尿病合并神经病变病情程度的客观指标。
Collect 163 cases of type 2 diabetes in our department general and clinical data, according to whether the merger neuropathy is divided into two groups, the data comparison. At the same time, according to the grade of diabetic neuropathy grading, patients with neuropathy were divided into 1 grade, 2 grades and 3 grades. The sensory and motor nerve conduction velocity were detected by EMG. Results: Body mass index, diastolic blood pressure, duration of diabetes, fasting blood glucose, 2h postprandial blood glucose, glycosylated hemoglobin and fasting C-peptide in patients with type 2 diabetes mellitus complicated with neuropathy were significantly higher than those without neuropathy Significance (P <0.05 or P <0.01). The sural nerve, peroneal nerve sensory conduction velocity and the median nerve, ulnar nerve, tibial nerve and common peroneal nerve conduction velocity decreased to some extent with the grading of the disease (P <0.05 or P <0.01). Conclusion: The detection of neuroelectrophysiology can be used as an objective indicator of the severity of type 2 diabetes mellitus with neuropathy.